Provider Demographics
NPI:1629721378
Name:STOUFFER, HWAYOUNG P (RN, BSN, MA)
Entity Type:Individual
Prefix:
First Name:HWAYOUNG
Middle Name:P
Last Name:STOUFFER
Suffix:
Gender:F
Credentials:RN, BSN, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20055 SW PACIFIC HWY STE 106
Mailing Address - Street 2:
Mailing Address - City:SHERWOOD
Mailing Address - State:OR
Mailing Address - Zip Code:97140-9294
Mailing Address - Country:US
Mailing Address - Phone:503-740-1207
Mailing Address - Fax:
Practice Address - Street 1:20055 SW PACIFIC HWY STE 106
Practice Address - Street 2:
Practice Address - City:SHERWOOD
Practice Address - State:OR
Practice Address - Zip Code:97140-9294
Practice Address - Country:US
Practice Address - Phone:503-740-1207
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-02
Last Update Date:2022-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR088007466RN163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse